Supporting Justice-Involved Individuals with SMI: From Arrest to Recovery-Presentation Slides

Presentation Slides
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The document discusses the Clinical Support System for Serious Mental Illness (CSS-SMI), an initiative funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and implemented by the American Psychiatric Association (APA). The agenda focuses on supporting justice-involved individuals with serious mental illness (SMI) from arrest to recovery.<br /><br />The initiative provides educational content aimed at enhancing participants' understanding of the diverse settings within the criminal justice system where individuals with SMI are likely to be, the risk factors for criminal recidivism and poor treatment retention, and models of support that promote continuity of care across multiple settings.<br /><br />Key learning objectives highlight:<br />1. Describing various settings such as correctional facilities, forensic hospitals, community centers, and emergency departments, and detailing how care is administered.<br />2. Discussing the risks associated with criminal recidivism and poor retention in treatment, especially for those with co-occurring substance use disorders.<br />3. Explaining frameworks and models that enhance continuity of care, emphasizing multidisciplinary approaches.<br /><br />Legal decisions like Olmstead v. L.C. and Brown v. Plata influence community placement and discharge planning to reduce prison overcrowding and ensure appropriate care for the mentally ill.<br /><br />Risk management highlights include:<br />- Identifying criminogenic needs and targeting resources for medium to high-risk individuals.<br />- Post-release outcomes are scrutinized, revealing high rates of re-arrest and mortality among released inmates.<br />- Treatment retention factors and the importance of continuity of care are stressed.<br /><br />Support systems discussed include Forensic Assertive Community Treatment (FACT) and Intensive Case Management (ICM). FACT addresses criminogenic risks and needs with a multidisciplinary approach. ICM provides comprehensive mental health and social support, showing positive outcomes like improved service engagement and reduced hospital days.<br /><br />Barriers such as discontinuity in medication and disconnected support systems are highlighted. Potential solutions involve policies promoting seamless care transitions, integrated criminal justice and mental health services, and enhancing supported housing initiatives to reduce re-offending and improve community integration.<br /><br />Financial, clinical, psychosocial, and operational strategies are recommended for achieving these goals, along with MOUs fostering collaboration among various justice and health entities. The document concludes by endorsing training for behavioral health and justice professionals and advocating for policies to streamline care transitions and support continuity.
Keywords
CSS-SMI
SAMHSA
APA
serious mental illness
criminal justice system
continuity of care
criminogenic needs
Forensic Assertive Community Treatment
Intensive Case Management
integrated services